Coding Account Resolution Specialist

2 semanas atrás

Rio de Janeiro, Brasil HHS Tempo inteiro

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity
  • Salary up to $43.00 per hour
  • Opportunity for career advancement and growth within the organization
  • Supportive and collaborative work environment
  • Chance to make an impact by ensuring accurate coding and billing processes
  • Engage in ongoing education to maintain current coding knowledge
What to Expect (Job Responsibilities)
  • Compile and manage daily worklists from eRequest, CRT, and/or other alert/edit systems.
  • Review and resolve alerts/edits for Same Day Surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiac Cath accounts.
  • Document detailed notes in eRequest for unresolved alerts/edits and escalate issues to prevent billing delays.
  • Collaborate with billing, revenue integrity, and Medicare Service Center teams to resolve complex edits.
  • Maintain compliance with CMS, AHA, and company coding/billing guidelines.
What is Required (Qualifications)
  • Minimum educational requirement: High school diploma or GED; Associate or Bachelor’s in HIM/HIT preferred.
  • Minimum of 3 years of facility outpatient coding experience, including SDC, OBV, IVR, Cardiology, and Wound Care.
  • Strong knowledge of ICD-10-CM, CPT/HCPCS, and reimbursement methodologies.
  • Proficiency with Meditech/Meditech Expanse, 3M/Solventum encoder, HPF/MPF, and Microsoft Office (Excel proficiency required).
  • Strong analytical and problem-solving skills, with excellent communication and organizational abilities.
How to Stand Out (Preferred Qualifications)
  • Certification: RHIA, RHIT, or CCS preferred.
  • Demonstrated ability to collaborate effectively with cross-functional teams.

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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